How much rates vary
Facilitymedian $29,512 · 10th to 90th $2,188 to $64,565Professionalmedian $1,259 · 10th to 90th $912 to $1,738
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $891.25 Median $2,884.03 Typical High $5,370.32 | Facility | None | $891.25 | $2,884.03 | $5,370.32 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,258.93 Typical High $1,778.28 | Professional | None | $1,071.52 | $1,258.93 | $1,778.28 |
Ambetter Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | None | $954.99 | $954.99 | $954.99 |
BCBS Louisiana Setting Facility Modifier None Typical Low $25,703.96 Median $37,153.52 Typical High $74,131.02 | Facility | None | $25,703.96 | $37,153.52 | $74,131.02 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,230.27 Median $1,513.56 Typical High $1,621.81 | Professional | None | $1,230.27 | $1,513.56 | $1,621.81 |
Christus Setting Facility Modifier None Typical Low $35,481.34 Median $35,481.34 Typical High $35,481.34 | Facility | None | $35,481.34 | $35,481.34 | $35,481.34 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,071.52 Typical High $41,686.94 | Facility | None | $524.81 | $1,071.52 | $41,686.94 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $1,258.93 Typical High $1,548.82 | Professional | None | $676.08 | $1,258.93 | $1,548.82 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $17,782.79 Typical High $51,286.14 | Facility | None | $2,884.03 | $17,782.79 | $51,286.14 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,348.96 Typical High $1,819.70 | Professional | None | $870.96 | $1,348.96 | $1,819.70 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $524.81 Median $630.96 Typical High $691.83 | Professional | 52 · Reduced service | $524.81 | $630.96 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $251.19 Typical High $275.42 | Professional | 53 · Discontinued | $213.80 | $251.19 | $275.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $954.99 Typical High $1,023.29 | Professional | 54 · Surgery only | $794.33 | $954.99 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $190.55 Typical High $204.17 | Professional | 55 · Aftercare only | $158.49 | $190.55 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $125.89 Typical High $138.04 | Professional | 56 · Pre-op care only | $107.15 | $125.89 | $138.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $891.25 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $741.31 | $891.25 | $954.99 |
Where Louisiana sits
The same service costs 19.9 times more in Alaska than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Physician feeFacility fee
AK $53,750MT $2,699
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.